What are the responsibilities and job description for the Medical Prior Authorization Specialist position at M.I.N.D?
Job Description – Medication Prior Authorizations
Classification FLSA - Non Exempt - hourly
Salary Grade/Level/Range
Experience, longevity, within company pay structure
Reports to- Patient Access Manager
Summary/Objective
Responsible for obtaining insurance authorization for medications prescribed by our medical providers.
Work Environment
This job operates in a medical office facility and/or remote. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Essential Functions
Polite, sensitive to people, compassionate, ethical conduct, annunciation and good communication skills proficiency which include read, write, active listening skills.
Processes all phases of pre-authorization to include preparing records and updates regarding patient status.
Verifies insurance benefits and eligibility for medications that require pre-authorization.
Acts as a liaison between insurance provider, patient and Medical Assistant
Communicates and answers all insurance-related questions regarding the medication/authorization for patients and staff.
Documents all insurance related pre-authorization information on patient’s chart.
Physical Demands
This position requires the ability to lift files, open filing cabinets, sit, bend or stand, walking as necessary.
Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are Monday through Friday. Evening and weekend work may be required as job duties demand.
Travel
None
Required Education and Experience
Familiar with medical terminology, medical insurance, co-pays, and deductibles.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employee must adhere to all approved policies, procedures and philosophies.
